Joanie49

Joanie49

Med surg.

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All Content by Joanie49

  1. Nurse tech working as RN

    Any LTC faculty that lets this fly is waiting for a lawsuit or even worse patient harm or death. This totally blows my mind to be honest.. Unless you have been to NURSING school and passed NCLEX you should not be preforming ANY RN duties even with so...
  2. Violence in Nursing

    Thank goodness my hospital has verses badges to hit in case of emergency... I have used mine many times. Our doctors and security and other staff members are alerted right away with our location in the hospital if this happens. Not to say this will a...
  3. So basically "I can't deal anymore" with my job on a med surg unit any longer. I have a years experience which is what is required in my area for ED/ICU application.. I obviously find it nerve racking to go into a new workplace with new coworkers I d...
  4. On to bigger and better things.

    I am not burnt out as a nurse I am burnt out from the patients expecting 5 start hotel service, being on the bell 24/7 and NOT EVEN BEING "that ill" to be honest. I need some excitement like I said, emergent situations, codes, trauma, SOMETHING GOOD...
  5. On central, PICC, and Midlines I always use a 10ml flush on the line and flush 5ml into the line, draw back and check for blood return, if there is no positive blood return I do not continue or put meds though it. Normal IV's (int's) I flush and if t...
  6. Need some advice from other nurses....please!

    It sounds like your doing everything right. Reviewing from school, looking at policies, and reviewing medications. I still look medications up and I have been on a med surg unit just like you described for a year... There is always a charge nurse for...
  7. Pushing metoprolol IV w/o tele..?

    I have been a nurse for a year so I am still pretty new... I have always and only pushed metoprolol IV while a patient is on tele. Last night a patient had IV metroprolol scheduled for only B/P control and it was un-needed, his B/P's were like 120's ...
  8. Pushing metoprolol IV w/o tele..?

    Great thank you! I will take a look in the drug reference guide and state what is in there to the MD next time if another situation comes up!
  9. Inserting IV on arm that had I&D done

    I would not have attempted or even thought about trying to insert in IV in that same arm as the I&D. If there was a I&D that means there is going to be a draining wound in close proximity to an IV site....not good, and high risk for another i...
  10. How do you feel about being a nurse?

    I really love it!! I have been a nurse for a year now and although it can be hard it really is great! I will list a few pro's and con's for me personally! Pros Comforting people while they are at their worst and sometimes most hopeless times in their...
  11. What are clinicals really like?

    During clinical you will be on your feet the entire time providing patient care. You will be expected to participate in personal care of patients so yes cleaning them up and morning care and any other care they may need. You will get no special consi...
  12. Who loves med-surg?

    Med- surg is great to start out and get experience in! Placeing foleys, NG's, caring for chest tubes ect is all good experience. I have worked med surg for almost a year now and still like it. You learn A LOT of assessment skills, when to call the MD...
  13. Go Fund Me for Co-workers?

    I personally do not participate in go fund me's for my co-workers or anybody actually for that matter. I would rather make a homemade supper for their family or offer my help around their house or whatever may be needed during their time of need...
  14. ICU Question about central line infection control

    At our hospital we have a vascular access team (VAT) who are suppose to do our dsg changes/care. Long story made short it NEVER GETS DONE by them........like ever. I kind of wonder what they do during the day sometimes.........Anyway's floor nurses a...
  15. I want to quit first RN job after a few weeks.

    If you are feeling uncomfortable at this job with only a week orientation I would request further job training before I quit or did anything drastic. If they can not accommodate that simple request I honestly would start looking elsewhere due to you ...
  16. Finding a job as a single parent in MA?

    It sounds like a very difficult position... Personally in Maine when I graduated they needed nurses so bad our whole 36 bed med surg tele/stroke floor was comprised of ALL new grads... I am totally unsure if moving is in your thoughts? It is seems li...
  17. When patients keep calling 911

    I have actually has this happen malp. times in my hospital. Along with 911 calls I had a pt calling dating services and leaving voicemails for people to call her back at her room telephone number...........UM YA... Anyway, if somebody wont stop calli...
  18. I honestly never thought I would EVER be able to become a nurse. I always loved the thought and dreamed of what it may be like being able to help people for a living, making a decent salary and always being in demand for a job. I slacked off in high ...
  19. SO.....I was pretty overwhelmed last week with my patient load and then got an admission on top of everything...I kind of thought everything was going "okay" just a "busy med surg night." I am a new nurse with just a little over six mouths experience...
  20. First med error...Advise..please.

    Thanks you, what you said means a lot. I know mistakes DO happen and we are only human. It is my first error so it kind of hit me hard. I normally do write down what I have to do in detail but it JUST so happens that same night I forgot my "normal" r...
  21. what is the best online review for nclex RN

    I can say UWORLD and the lippincott book ware GOLD to me. UWORLD is exactly how the real NCLEX test is set up as. The screen is the same the questions are the same, without UWORLD I would not have passed the NCLEX in my opinion. Their questions are d...
  22. Soooo- I am almost done my 12 week orientation on a med surg floor as a new nurse... I honestly do not know why I feel uncomfortable/guilty delegating to the CNA's but I do for some reason... I am 23 and most of the CNA's are in their 40's or 50's so...
  23. NCLEX....how bad is it REALLY...

    SOO, I just graduated nursing school with an ADN. I feel as though my school prepped me well and I have learned a lot from them. I have always gotten good grades throughout the nursing program and scored high on my HESI exams. What I am wondering is ...
  24. Nclex RN fail

    Honestly you need to wait until you get official results from your BON. The nclex pop up credit card test is not 100% correct. I did not even try it when I took my nclex.. Your BON should post soon I hope... Best of luck, try not to get down on yours...
  25. Precepting New Grads

    I have not worked in the ED, but I have had a preceptorship experance and I thought the most helpful things my preceptor did was ALWAYS ask me before doing a skill or giving a IV med or whatever is ask if I am comfortable with it! That opened the con...